{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:33Z","timestamp":1787169813046,"version":"build-2736575974"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To derive consensus statements for surgical management of proliferative diabetic retinopathy (PDR) for vitreoretinal (VR) surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirteen prolific VR surgeons representing all regions of India were invited to participate in a 42-point questionnaire based on the Delphi methodology describing various surgical scenarios commonly encountered in PDR. Consensus was derived using predefined robust analytics. Scenarios that returned a moderate consensus in round 1 were taken to round 2 as per the Delphi methodology. After considering all inputs, the final consensus criteria were developed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A strong consensus was derived about waiting for 4 weeks before considering vitrectomy. In treatment-na\u00efve eyes with fresh vitreous hemorrhage (VH), the wait time was slightly shorter for extramacular tractional retinal detachment (2\u20134 weeks) and longer (4\u20136 weeks) for eyes treated previously with laser or anti-VEGF agents. The expert panel recommended using preoperative anti-VEGF only in eyes with large membranes requiring extensive dissection. For post vitrectomy VH, while a conservative approach was recommended for the first episode of VH, experts recommended immediate vitreous lavage for recurrent episodes of VH. In eyes with iris neovascularization, the panel recommended immediate anti-VEGF injection followed by early vitreous lavage in nonresponsive eyes. A strong consensus was derived for stopping antiplatelet agents before surgery, while there was only a moderate consensus for performing vitrectomy for recalcitrant macular edema unresponsive to anti-VEGF injections in the absence of traction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study provides valuable consensus on managing the different scenarios encountered during surgical management of PDR and should help guide the VR surgeons in clinical decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1265_21","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T12:37:01Z","timestamp":1636634221000},"page":"3308-3318","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["A Delphi method based consensus statement for surgical management of proliferative diabetic retinopathy in India"],"prefix":"10.4103","volume":"69","author":[{"given":"Sabyasachi","family":"Sengupta","sequence":"first","affiliation":[{"name":"Vitreoretinal Services, Future Vision Eye Care, Borivali (East), Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manavi D","family":"Sindal","sequence":"additional","affiliation":[{"name":"Viitreoretinal Services, Aravind Eye Hospital, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P Mahesh","family":"Shanmugam","sequence":"additional","affiliation":[{"name":"Vitreoretinal and Oncology Service, Sankara Eye Hospital, Kundalahalli Gate, Airport, Varthur Road, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod","family":"Bhende","sequence":"additional","affiliation":[{"name":"Shri Bhagawan Mahavir Vitreo-Retinal Services, Medical Research Foundation, (Sankara Nethralaya), India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhanashree","family":"Ratra","sequence":"additional","affiliation":[{"name":"Shri Bhagawan Mahavir Vitreo-Retinal Services, Sankara Nethralaya, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Nagpal","sequence":"additional","affiliation":[{"name":"Vitreo Retinal Consultant, Retina Foundation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Kanuri Santhamma Centre for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Vitreoretinal Services, Aravind Eye Hospital, Chennai, 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